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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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KENNEDYE, JAMES RAYMOND       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD.
ADA OK 74820

Address last updated on 4/11/2024
Phone #: (580) 436-3980
Fax #:
County: OKLAHOMA
License: 22846
Dated: 5/9/2002
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1998
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD.
ADA OK 74820

Phone #: (580) 436-3980
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JESSICA CHONLAHAN PA 1944
TRENT EVAN FLAMING PA 1980
MINI GEORGE PA 1334
CARL DOUGLAS JACKSON PA 2616

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